Case Report
Varicella Zoster Virus Meningitis in a Young Immunocompetent Adult without Rash: A Misleading Clinical Presentation
Table 1
Clinical and CSF findings in immunocompetent patients with VZV meningitis without rash. Qalb: albumin quotient (CSF albumin/serum albumin), OCB: oligoclonal bands, and ASI: antibody specific index ((CSF VZV-IgG/serum VZV-IgG)/(CSF total-IgG/serum total-IgG)). MRI results of patient 4: MRI revealed an ill-defined T2 hyperintensity in the right frontal lobe, extending from the cortical surface to the frontal horn of the lateral ventricle without mass effect, consistent with a hamartoma or cortical dysplasia. A follow-up MRI with gadolinium on day 10 was normal, with no change in the solitary T2 hyperintensity.
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